| David F Sonego Md Pc & Associates | |
|
230 E Day Rd Ste 160 Mishawaka IN 46545-3463 | |
| (574) 271-8222 | |
| (574) 271-8896 |
| Full Name | David F Sonego Md Pc & Associates |
|---|---|
| Speciality | Counselor |
| Location | 230 E Day Rd, Mishawaka, Indiana |
| Authorized Official Name and Position | David F Sonego (PRESIDENT OWNER) |
| Authorized Official Contact | 5742718222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David F Sonego Md Pc & Associates 230 E Day Rd Ste 160 Mishawaka IN 46545-3463 Ph: (574) 271-8222 | David F Sonego Md Pc & Associates 230 E Day Rd Ste 160 Mishawaka IN 46545-3463 Ph: (574) 271-8222 |
| NPI Number | 1063575108 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 06/19/2013 |
| Medicare PECOS PAC ID | 6406872050 |
|---|---|
| Medicare Enrollment ID | O20051021000880 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063575108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | IN01038008 (Indiana) | Primary |
| Provider Name | Hugh J Van Auken |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275537854 PECOS PAC ID: 0941226591 Enrollment ID: I20051021000899 |
| Provider Name | Jan E Warner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043214679 PECOS PAC ID: 5294859450 Enrollment ID: I20100825000817 |
| Provider Name | David F Sonego |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861496432 PECOS PAC ID: 1951327501 Enrollment ID: I20111020000509 |
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